Quality of life: pre-and post-functional endoscopic sinus surgery in chronic rhinosinusitis
Keywords:Chronic rhinosinusitis, FESS, QOL, SNOT-20, Lund- Kennedy endoscopy scores
Background: Chronic sinusitis (CRS) includes all inflammatory diseases of the nose and paranasal sinuses with a minimum duration of 12 weeks. Physical examination (anterior rhinoscopy, endoscopy) and/or radiography, ideally from sinus computed tomography, can provide objective proof of the same. After failure of conservative treatment, functional endoscopic sinus surgery (FESS) is the preferred modality for chronic rhinosinusitis that has been frequently used over the past years.
Methods: The present prospective study aimed to assess the quality of life (QOL), the nasal endoscopy scores- before and after FESS in 60 patients aged more than 18 years suffering from chronic rhinosinusitis. QOL was assessed using SNOT-20 questionnaire and endoscopy was quantified using Lund-Kennedy sinonasal endoscopy scoring system.
Results: QOL scores were significantly higher (p<0.001) before surgery (41.28±15.30) than after FESS (6.83±5.96) indicating improvement in QOL. Lund-Kennedy endoscopy scores of patients suffering from chronic rhinosinusitis before and after surgery was also significantly reduced (p<0.001).
Conclusions: This study concludes that there is significant improvement in the QOL and reduction in the severity of symptoms in patients suffering from chronic rhinosinusitis after FESS.
Sedaghat AR. Chronic Rhinosinusitis Harvard Medical School, Boston, Massachusetts: Am Fam Physician. 2017;96(8):500-6.
Beule A. Epidemiology of chronic rhinosinusitis, selected risk factors, comorbidities, and economic burden. GMS Curr Topics Otorhinolaryngol Head Neck Surg. 2015;14:11.
Bunzen DL, Campos A, Leão FS, Morais A, Sperandio F, Neto SC. Efficacy Of Functional Endoscopic Sinus Surgery For Symptoms In Chronic Rhinosinusitis With Or Without Polyposis. Rev Bras Otorrinolaringol. 2006;72(2):242-6.
Netkovski J, Sirgovska B. The impact of functional endoscopic sinus surgery on symptoms in chronic rhinosinusitis. Prilozi. 2006;27(2):167-74.
Desrosiers M, Evans GA, Keith PK, Wright ED, Kaplan A, Bouchard J et al. Canadian Clinical Practice Guidelines For Acute And Chronic Rhinosinusitis. Allergy Asthma Clin Immunol. 2011;7(1):2.
Bezerra TF, Piccirillo JF, Fornazieri MA, Pilan RR, Pinna Fde R, Padua FG, Voegels RL. Assessment of quality of life after endoscopic sinus surgery for chronic rhinosinusitis. Braz J Otorhinolaryngol. 2012;78(2):96-102.
Mace JC, Michael YL, Carlson NE, Litvack JR, Smith TL. Correlations Between Endoscopy Score and Quality of Life Changes After Sinus Surgery Arch Otolaryngol Head Neck Surg. 2010;136(4):340-6.
Ct DWJ, Wright ED. Objective Outcomes in Endoscopic Sinus Surgery. In: Iancu C, editor. Advances in Endoscopic Surgery. 2011;3;57-70.
Mishra DK, Bhatta R, Verma LR. Quality Of Life After Functional Endoscopic Sinus Surgery. Nepalese J ENT Head Neck Surg. 2010;1(2):6-8.
World Health Organization. The economics of health and disease. WHO Chron. 1971;25:20-24.
Shivakumar T, Sambandan AP. Retrospective Analysis of the Effectiveness of Functional Endoscopic Sinus Surgery in the Treatment of Adult Chronic Rhinisinusitis Refractory to Medical Treatment. Indian J Otolaryngol Head Neck Surg. 2011;63(4):321-4.
Toros SZ, Bölükbasi S, Naibog˘lu B. Comparative outcomes of endoscopic sinus surgery in patients with chronic sinusitis and nasal polyps. Eur Arch Otorhinolaryngol. 2007;264(9):1003-8.
Giger R, Dulguerov P, Quinodoz D. Chronic panrhinosinusitis without nasal polyps: long-term outcome after functional endoscopic sinus surgery. Otolaryngol Head Neck Surg. 2004;131(4):534-41.